T.R | Title | User | Personal Name | Date | Lines |
---|
4308.1 | Because couples pay more so that families of 3 or more don't have to | UHUH::TALCOTT | | Tue Dec 05 1995 08:58 | 4 |
| Is what I was told when I asked a couple of years ago. Also got a "We're looking
into changing this in the future." - which obviously hasn't happened yet.
Trace
|
4308.2 | Take advantage, have many kids | DIODE::CROWELL | Jon Crowell | Tue Dec 05 1995 09:04 | 10 |
|
Society in general creates incentives to have children. Things
like tax credits, deductions, etc. The school system is another
example, in MA your property tax pays for education. If it was pay
as you go only the people with money (or careless) would have children.
So, have 15 kids and get 80K$ in extra benifits (school, medical, tax
breaks, etc)...
Jon
|
4308.3 | Solidarnosc | BHAJEE::JAERVINEN | Ora, the Old Rural Amateur | Tue Dec 05 1995 09:40 | 3 |
| E.g. here in Germany (assuming you are in the 'public' medical scheme)
you pay the same no matter how many kids you have (or a spouse without
income).
|
4308.4 | And go broke | CXXC::REINIG | This too shall change | Tue Dec 05 1995 09:40 | 7 |
| > So, have 15 kids and get 80K$ in extra benifits (school, medical, tax
> breaks, etc)...
According to a morning new program factoid, a child costs a family
$280,000 from birth to age 18.
August G. Reinig
|
4308.5 | doesn't make sense | SALEM::BURGER | NORM | Tue Dec 05 1995 10:08 | 8 |
| This would seem to go to the heart of the question of how Digital
decides on the amount to charge the employee for coverage under the
various options. There are I am sure a number of factors considered.
Still, as it stands now it doesn't seem to make sense for a rate to be
set which disregards the number of people using the service. Why not
charge a couple less for coverage than a family of five? Surely
Digital human resources has the data on how much it costs the company
to cover the costs of various sizes of families.
|
4308.6 | | NETCAD::THAYER | | Tue Dec 05 1995 10:27 | 15 |
|
RE .5 "doesn't make sense"
What would lead you to believe that anything about our
health care system makes sense?
And while you're at it, why should someone with a spouse
and 2 children pay as much someone with a spouse and
6 children?
Why would any company subsidize its employees' health
insurance? They don't subsidize our auto or homeowners
insurance.
John
|
4308.7 | Children always a possibility | DASPHB::PBAXTER | Vmsmail: PENUTS::PBAXTER | Tue Dec 05 1995 10:27 | 6 |
| Of Course...
Having a spouse opens up the 'possibility' of incurring
children at any time.
|
4308.8 | | TLE::REAGAN | All of this chaos makes perfect sense | Tue Dec 05 1995 11:01 | 9 |
| Think of it this way:
The taxes you pay that support public education are paying for YOUR
education when you were a child (of course I'm assuming you went to
public school). Each of your children will (hopefully) become
productive, tax-paying members of society some day and then will pay
taxes to support public education to pay for THEIR education.
-John
|
4308.9 | Why not have choices | MIASYS::GORNEAULT | Being politically correct is being mentally inept | Tue Dec 05 1995 11:25 | 12 |
| My Wife works for a health care provider and they let an employer choose the following options
Single employee
Employee and spouse
Parent and child
Parent and children
Family
Each of these options has a different price. The capability is in the health care market, but digital
doesn't use it.
tony
|
4308.10 | Digital's choice | PCBUOA::BEAUDREAU | | Tue Dec 05 1995 11:37 | 12 |
|
RE: .9
Yes, I questioned some of the HMO's at the recent open enrolement
show in the caf. Harvard Comunity said they offer more choices
like just employee and spouse for those of us w/o kids, but
Digital decided on not offering this as an option to its employees.
The difference between single and family coverage is $18 per week.
I wish there was something in the middle for us with no kids.
gb
|
4308.11 | | EPS::RODERICK | I saw Elvis kissing Santa Claus. | Tue Dec 05 1995 11:50 | 12 |
| > <<< Note 4308.7 by DASPHB::PBAXTER "Vmsmail: PENUTS::PBAXTER" >>>
> -< Children always a possibility >-
>
>Of Course...
>
> Having a spouse opens up the 'possibility' of incurring
> children at any time.
Not true. There are many types of families in the world. Some tend to
have children, and some don't.
Lisa
|
4308.12 | employee+spouse makes sense (thats why we won't do it) | CSSE::pkodv1.mso.dec.com::vaughan | All it takes is a point of light | Tue Dec 05 1995 12:20 | 11 |
| I am married with 4 children. I think it is ridiculus that an employee
needing coverage for just themselves and their spouse has to pay the
same that I do. From what I understand there are a number (most?)
health plans that offer the employee+spouse option. If there are some
that don't Digital should be able to "influence" them to start offering it.
Dave V
ps. - as far as the taxes rathole - I am against increasing the dependent child
deduction (at least until the budget is balanced), but, 1996 is an election
year and the votes have to be bought somehow.
|
4308.13 | | USCTR1::HSCOTT | Lynn Hanley-Scott | Tue Dec 05 1995 13:23 | 10 |
| I had similar questions during the recent enrollment, about Digital not
opting for a chiropractice rider for one of our (mine!) HMO
offerings. BENEFITS EXPRESS told me to send mail to USHR @MSO,
explaining my concern, and they will forward it on to Paul Corneluius,
the Benefits Manager.
I had no response after sending it to both USHR @MSO, and to Paul
directly.
|
4308.14 | Let's play ball! | NCMAIL::SMITHB | | Tue Dec 05 1995 14:18 | 9 |
| I agree that that I should pay more because I have kids than
people without them. Also, when you find out you have cancer,
kidney disease, gall stones, or heart trouble, your insurance should
immediately start to climb as you will be a burden to my insurance
company.
This is a tired argument, one that we seem to go through this
time of year. Remember, one heart bypass will pay for a lot of
children getting checkups...
|
4308.15 | Children don't automatically mean $$$ spent! | NETCAD::GENOVA | | Tue Dec 05 1995 14:40 | 33 |
|
I don't really think that just because you have 4 kids that you are
automatically going to incur more bills to your health care provider.
I was in the service for 9 years, only went to the docta 2 or three
times, didn't cost the Military a dime.
I've worked for this company almost 10 years. Had two kids coming into
the company, that is, the births were already paid for. My kids have
gone to the docta once a year for checkups, nothing else. What does
that cost, $50-100 a year or so each. Otherwise no bills to the HMO,
and they get $15 a week from me plus what DEC contributes. Sounds like
the HMO is making money offa me.
Probably the really fair thing, is that when you get sick and start to
incur bills, then your premiums will go up, just like the automobile
insurance business.
Maybe we should base the health care rates on family histories of
diseases, on how long relatives have lived (living longer will cost the
HMO more money, right, on whether or not you are into risky activities
(Motorcycling, one night stands), etc.
I just don't buy that the argument that if you have more kids it
automatically costs the HMO more money.
And I can betcha that if there was a graduated price/children scale,
that the childless couples rates wouldn't go down from what they are
now, but that the couples with more kids would have their premiums
increase.
Just my $.02
/art
|
4308.16 | | PADC::KOLLING | Karen | Tue Dec 05 1995 14:53 | 11 |
| Continuing the rathole, I see no problem with making rates a function
of voluntary behavior that's detremental. Car insurance rates
should be higher for people involved in at-fault accidents. Health
insurance rates should be higher for people who smoke. Dependent
insurance should be higher for people with more than two kids (based
on the environmental pressures of > replacement offspring.) Etc.
Developing some random illness doesn't fall into the above category
unless the person voluntarily predisposes him or herself to
it.
|
4308.17 | voluntary behavior not the best key | SWAM1::GOLDMAN_MA | Walking Incubator, Use Caution | Tue Dec 05 1995 15:18 | 20 |
| So if I smoke, I should pay higher rates because I may (someday)
develop lung cancer, but don't - say, perhaps, I actually develop, oh,
I don't know -- uterine cancer or some other form *not* linked to
smoking. I paid higher rates based on a *possibility*, one that is not
consistently going to come to pass, same as the married folks who
now pay more because they *may* have children someday?! I don't think
that's fair, either. That leaves you open to saying that the insurance
company can charge more for my kids, too, because they live with a
smoker, even though they are both basically healthy children.
BTW, I basically do agree that rates should be based upon
the categories of employee-only, employee & spouse, employee &
child/children (for our single parent population!), and full family (
for our traditional compadres...). Of course, I've also always thought
that we should be able to bring a dependent elder parent who is not
yet eligible for Medicare into our family insurance plans, but that's
another rathole.
M.
|
4308.18 | | PADC::KOLLING | Karen | Tue Dec 05 1995 15:59 | 7 |
| No, I don't think married people should be zapped with higher rates
because they "might" have children in the future. If they do
have children, then the rates should go up. And, yes, health insurance
for dependents who live with a smoker should be higher, because they
have a higher risk of developing cancer and other diseases due to
second-hand smoke.
|
4308.19 | Hello - smoking causes cancer - period! | AXPBIZ::SWIERKOWSKIS | Now that we're organized, what's next? | Tue Dec 05 1995 18:10 | 15 |
| re .17
> So if I smoke, I should pay higher rates because I may (someday)
> develop lung cancer, but don't - say, perhaps, I actually develop, oh,
> I don't know -- uterine cancer or some other form *not* linked to
> smoking. I paid higher rates based on a *possibility*, one that is not
Where have you been? What makes you think it isn't related to smoking? I
personally think it'd be easier to rassle an alligator than to make all the
assigned risk changes mentioned in this thread, but don't kid yourself --
smoking causes cancer -- and not just lung cancer. Words from one of my
customers who is an oncology nurse, "If you smoke, quit now!!"
SQ
|
4308.20 | Definition of insurance | LOCH::SOJDA | | Tue Dec 05 1995 21:42 | 7 |
| In a sense, this entire string deviates from the whole notion of
insurance - sharing the risk. If everyone's premium was exactly in
proportion to the expected payout, then there is no point in having
insurance at all.
Larry
|
4308.21 | | BHAJEE::JAERVINEN | Ora, the Old Rural Amateur | Wed Dec 06 1995 03:25 | 8 |
| re .20: Exactly what I was going to say... the whole idea of insurance
is to collectively (doesn't that sound almost like communism? :-) cover
risks that an individual (at least potentially) can't cover.
If you haven't had a car accident in years, you are paying for those
who did. If you don't get ill, you are paying for those who do. But if
you _do_ get seriously ill, even the contributions you've already paid,
possibly over decades, won't be enough.
|
4308.22 | | DECAGE::HESS | Stu - DTN 344-7241 | Wed Dec 06 1995 08:07 | 3 |
| I think the last two are missing the point, we should all pay our fair
share but souldn't an individual pay one amount and a group of say 3
people pay three times that amount?
|
4308.23 | Men/Women Difference | NQOS01::hornet.det.dec.com::comfort | | Wed Dec 06 1995 09:06 | 2 |
| Are costs different for men and women. It might make sense to pay differently depending
on the sex of the person covered.
|
4308.24 | | BHAJEE::JAERVINEN | Ora, the Old Rural Amateur | Wed Dec 06 1995 10:00 | 11 |
| re .22: I was referring to the suggestions that higher risk groups
(like smokers in case of medical insurance) should be charged a higher
price, up to the expected costs they will incur - there would be no
need for insurance in that case. Of course, it's still practiced in
many cases, lice car insurance - in most countries, new drivers pay
more than more experienced drivers (assuming they have cause no
accidents).
Whether an individual or a family should or should not pay the same
amount is a different thing - as I said, in Germany they do, but that
has more to do with politics than finances.
|
4308.25 | | ACISS2::LENNIG | Dave (N8JCX), MIG, @CYO | Wed Dec 06 1995 10:36 | 10 |
| And then of course you need to factor age in...
And genetic pre-disposition to various diseases...
And ...
Of course the ultimate in 'fairness' would be for folk to pay
for only exactly the costs what they incur...
Sheesh!
|
4308.26 | Support for a 3rd Class | LOCH::SOJDA | | Wed Dec 06 1995 10:55 | 18 |
| RE: .22
>> I think the last two are missing the point, we should all pay our fair
>> share but souldn't an individual pay one amount and a group of say 3
>> people pay three times that amount?
When you put it that way, the answer of course is yes. However, as has
been pointed out, there are other -- possibly more meaningful --
factors that effect medical costs than number of people covered. And
in some sense, Digital already does this since there are different
rates for an individual and multiple people (family).
Having said this, I think that there could be some improvement in
granularity. I would support having a third category, Employee and
Spouse Only. Although this wouldn't satisfy everyone, I think it would
affect a significant enough number of people to make it worthwhile
without getting overly complicated.
|
4308.27 | | PADC::KOLLING | Karen | Wed Dec 06 1995 11:40 | 10 |
| Re: are costs different for men and women
Well, I looked into ACM insurance as an opt out possibility,
and they sock it to women up to the age of fifty or so to the
tune of 2 or 3 times the premiums for men. Whether this reflects
costs, belief that we're all producing children, or what, I have no
idea. You might expect things to be reversed as people get older,
given the differences in life expectancies, but it's quite
minor in terms of their premiums.
|
4308.28 | | ACISS2::LENNIG | Dave (N8JCX), MIG, @CYO | Wed Dec 06 1995 16:09 | 9 |
| Isn't Individual/+Spouse/Family granularity a bit parochial?
I thought single-parent households were fairly common now-a-days...
Re: differant size groups paying differant amounts
How about selecting a large group size, say the population of Digital
employees, and dividing the cost equally across it. Hmmm...
Dave
|
4308.29 | Well here's one reason... | FOUNDR::DODIER | Single Income, Clan'o Kids | Wed Dec 06 1995 16:40 | 20 |
| On the surface, the argument makes sense, but following through
with it is a different story. As was mentioned, having a family increases
your financial burden. Raising the financial burden even more on those
less able to handle it will only result in less people being insured. This
is already a (if not the) key problem in the health industry today.
Ever wonder why those 2 Tylenol you got at your last hospital stay
cost so much ? When a health care provider provides care for an uninsured
person, and that person can't or doesn't pay, the provider rolls that into
the cost of doing business. This raises the fees on services for everyone
else that does pay, to compensate. This consequently drives up the cost of
health care premiums.
So one can say, "Make so-and-so pay more so that the rest of us
young/healthy/single people can pay less". Then, as even more people drop
their insurance because they can't afford it, guess who ultimately pays for
this ? Something that has the potential to create more uninsured people
is definitely not what we need right now.
Ray
|
4308.30 | Helth Care Needs Help - Period. | ODIXIE::GARAVANO | | Wed Dec 06 1995 18:14 | 30 |
| The health care industry is the biggest racket going - bar none - the
reason those two Tylonel cost so much - has everything to do with the
obscene profits being made by HMO's at the expense of the patient and
the medical community -
Example #1:
My husbands insurance company most expensive,
least FUNCTIONAL and least favored option is an HMO - his insurance
company sends out memos to their employees suggesting that HMO's provide
inferior coverage in general - his company offers our John Hancock Plan 2
equivalent ( its actually better) at the price we offer straight AV-MED
- and "suggests" to their employees that the reason some Large Employers
use one HMO over the other is that some Large Employers are paid a KICK
BACK by that HMO provider - so both the HMO and the Large Employer
benefit - at the expense of the employee.
Example #2:
Most hospitals are now forcing their nursing staff to
work overtime - whether they want to or not? The reason - they
deliberately cut staff to the bare minimum to "right size" - but then
can't afford to increase staff when the number of patients increase -
again who pays - the patient -
It has gotten so bad the doctors are complaining.
Look at the annual reports of the Health Care comglomerates
and remember - those profits are literally coming out of the blood,
pain and suffering of you and your families -
Its sadly that plain and simple -
|
4308.31 | Huh? | MPOS01::BJAMES | I feel the need, the need for SPEED | Wed Dec 06 1995 19:24 | 12 |
| Now let me get this straight. I'm single and I work for mother
Digital. They pick up most of the tab for my medical care, I kick in
what is basically a rounding error per week out of my checkbook to
cover my share. (Who says it doesn't pay to be single!) Now, I think
about getting married and will want to bring my wife to be onto my plan
thus driving up my costs per week by 433%. Hmmmm whats wrong with this
picture? All I have done is added one person to my life but now my HMO
thinks I have to pay the cost for an entire family? Somethings wrong
here folks if you ask me above and beyond I'm still looking for the
wife to be!
|
4308.32 | Different costs, and unexpected ones? | CHEFS::RICKETTSK | Rebelwithoutapause | Thu Dec 07 1995 03:33 | 22 |
| > idea. You might expect things to be reversed as people get older,
> given the differences in life expectancies, but it's quite
> minor in terms of their premiums.
Greater life expectancy might actually increase costs. Medical
treatment is only expensive for sick people, not dead ones (unless
there is a malpractice suit because they died as a result of their
treatment). I have heard it stated that this country (UK) could not
afford for all smokers to give up the habit. Not only would the tax
money be lost, but all those smokers living longer would cost a fortune
both in extra old age pensions and health care for other illnesses;
often much longer term illnesses than cancer or heart disease.
Isn't something like a third of all medical expenditure in the USA
incurred in the last three weeks of life? If true, this suggests that
an awful lot of treatment is either a)completely useless or b)only
postponing the inevitable by a short time at great cost to somebody,
and great profit to the providers. It also suggests that children, who
have a very low death rate, might not on _average_ cost a great deal to
provide cover for.
Ken
|
4308.33 | Happy with my HMO-US HealthCare | DWOMV2::CAMPBELL | Ditto Head in Delaware | Thu Dec 07 1995 05:49 | 19 |
|
One must keep in mind that insurance companies keep very
detailed tables of the effect lifestyle choices have on
costs. I suspect that overall, for family coverage, the
least cost/person covered is within the "traditional" family
unit. Many studies point to the positive influence on
health of marriage and children.
Of course, those whom decide these things may have looked at
how much rates would go up for those with children and decided
against a separate rate. Perhaps most of the decison makers
are married with children?
OBTW, to the reply that characterized HMO's as greedy, only-in-it-
for-the-bucks. Don't you think things would work much more
smoothly, if we could all understand that people just like us
work in those 'other' companies. There is FAR too much
us-vs-them in the public's mindset, I'm afraid.
|
4308.34 | | JGODCL::KRAAN | | Thu Dec 07 1995 09:28 | 13 |
| Digital Netherlands pays fully (100%) the basic insurance for her employee
and the half for wife and cildren.
This means that there is no one price for a single or a family (with or
without kid(s). An employee with wife and 2 children has to pay 4 times
the amount of a single, although some of this is paid by DEC.
The basic insurance will normally give you not the full insurance
package so the extra's have to be paid by the employee.
Re: Smokers have to pay more.
What about people that do risky sports in there own time ?
Peter.
|
4308.35 | Problem existed before HMO's | FOUNDR::DODIER | Single Income, Clan'o Kids | Thu Dec 07 1995 10:22 | 45 |
| re:30 and 33
I've said it before somewhere. You have health care providers and
health care consumers. HMO's neither provide nor consume health care.
Since they're in it for the money, *ANYTHING* they charge that does not
go to the provider only adds to what we all pay for health care.
In the Canadian model, all people within a given Province are part
of the same risk pool. You cannot be denied for any reason. Basically,
all health care costs are divided by the number of people and that is
what everyone pays for coverage. This keeps the coverage as low as
possible barring administative efficiency tweeks. I'm not sure if/how
they do "family coverage".
This is about the fairest possible way to share the costs. Yes,
you'll be paying just as much as the person dying from a terminal
disease requiring lots of care. Just because you're young, healthy, and
single today doesn't mean that you won't be later in life. Adjusting
premiums based on life-styles will only add more administative costs
than it's worth. It's to easy to lie (i.e. No, I don't smoke.).
Insurance companies would love to be able to weed out all the high
health risk patients. They already do this to some degree now by not
covering any pre-existing conditions. Again, this only contributes to
the problem in the long run. This "long run" effect is what we're seeing
and feeling today.
I'm very skeptical that we'll ever see the above sort of system in
the US. The insurance industry is second in holdings only to the US
government. Politics and big money tend to go hand in hand. This kind of
system effectively eliminates the insurance companies in the health care
market.
In order to even have a chance to keep the insurance companies in the
market, you'd have to sync up all insurance companies and health care
providers under a standard billing system. Hell, we're one company, and a
computer company at that, trying to sync up on standard company wide
automated processes. Anyone care to take a look at how long it's taking
just for us to do this ;-)
Ray
BTW - Those two Tylenol in the hospital were pretty expensive long
before HMO's became popular. They may add to the problem, but they're
not *the* problem.
|
4308.36 | | NOTAPC::SEGER | This space intentionally left blank | Thu Dec 07 1995 11:14 | 7 |
| re: longer age = high medical expenses
A doctor friend of mine told me something like 90% (or more!) of your medical
costs are incurred during your last 6 months of life, independent of age. If
this think about it for awile, it makes sense.
-mark
|
4308.37 | | PADC::KOLLING | Karen | Thu Dec 07 1995 12:35 | 6 |
| Re: Many studies point to the positive influence on health
of marriage and children.
Actually, there's a positive influence for men and a negative
influence for women.
|
4308.38 | yep, not fair for us kidless folks. | AXPBIZ::WANNOOR | | Thu Dec 07 1995 15:57 | 13 |
|
I agree with .0
Let's see, Kaiser in N. Cal today charges ~$2.50/week for single
but I believe jumps to ~$30.00/week for family; no indiv+spouse
option is avail. Do the math --- I mean that is an astronomical
price gauging for folks who are happy not being parents!
I wish that $30.00 would cover my cat's insurance, afterall he is
my son!
|
4308.39 | Agree with .38 and base note | FOUNDR::DODIER | Single Income, Clan'o Kids | Thu Dec 07 1995 16:10 | 6 |
| Getting back to the base note, there should be a per person
premium that should be the same for everyone. So if one person was
$2.50, five people should be $12.50. This would be the fair way to do
it, but this makes too much sense to ever happen ;-)
Ray
|
4308.40 | | PADC::KOLLING | Karen | Thu Dec 07 1995 17:40 | 11 |
| Re: .38
Wrong, at least for my zip code. Kaiser charges $4 vs $17
weekly for an individual or family, respectively; if you believe
in the generic 2.x kids per family, there is some logic to
that. However, the Digital medical plan 2 is biased in the other
direction here; it charges $96 for an individual but $175 for a
family weekly.
Like you, I'm also waiting for MediCat to be an option :-)
|
4308.41 | National Heath Care!!! That's the ticket!!! | NETCAD::GENOVA | | Thu Dec 07 1995 18:28 | 27 |
|
Why don't we just get a National heath care system, take the
Individual's Company out of the loop altogether, and charge
nothing weekly. Pay $2 each time you go to the docta, and really
spread the costs around. Then I suppose we'll all be mad that we're
paying for people who are on Welfare, or who have fallen off the 12
weeks of unemployment, etc.
Why is there a Marriage penalty for 2 earners over about $65K annual
salary.
Why are some towns covering the Homo-Sexual partner under their City
Employee jobs. Hetero-Sexual partners that aren't married don't have
their partners covered. If I was without coverage, and new someone who
worked for one of these cities, might I say I'm HomoSexual just to get
coverage, or would I have to prove it? I know HeterSexuals can get
married, HomoSexuals can't, so let's let them get married in the eyes
of the law, don't have "special" breaks for them simply because they
are gay.
Why is life so unfair? It is, It isn't, it all depends on your
perspective.
And this too shall pass.
/art
|
4308.42 | | AXPBIZ::WANNOOR | | Thu Dec 07 1995 20:29 | 13 |
|
art,
it is not that life is unfair, it is just that paying the bill is
unfair!
frankly, taking care of our health should not a profit-making business
in the first place. If we dig deeper, all of these discussions really
does not boil down to the quality of care you and I might get, what
really the cost of insurance, and that means profit margins for the
providers of insurance.
|
4308.43 | | DECCXL::VOGEL | | Thu Dec 07 1995 22:02 | 25 |
|
Re .last
>frankly, taking care of our health should not a profit-making business
>in the first place.
What about supplying our food? Should food suppliers be able to make
a profit? How about companies which make clothing? Can they make a
profit? What about housing? Education? Transportation?
What about computer companies that sell products/services to
health care providers? Can they make a profit on those sales? After
all this drives up the cost of health care.
>If we dig deeper, all of these discussions really
>does not boil down to the quality of care you and I might get, what
>really the cost of insurance, and that means profit margins for the
>providers of insurance.
What percentage of U.S. medical spending is represented by the
profits of health care insurance?
Ed
|
4308.44 | | BHAJEE::JAERVINEN | Ora, the Old Rural Amateur | Fri Dec 08 1995 05:36 | 4 |
| I think the US medical costs is roughly US$ 3000 per capita (per year),
maybe even more. So, anything below ~$60/week for an individual is a
deal, or $240/week for a family of four.
|
4308.45 | | REGENT::POWERS | | Fri Dec 08 1995 08:39 | 16 |
| > <<< Note 4308.38 by AXPBIZ::WANNOOR >>>
> -< yep, not fair for us kidless folks. >-
>
>
>
> I agree with .0
>
> Let's see, Kaiser in N. Cal today charges ~$2.50/week for single
> but I believe jumps to ~$30.00/week for family; no indiv+spouse
Is that what Kaiser is charging, or is that the copayment is after
Digital's contribution?
Digital subsidizes the employee to a higher percentage of the fee
than for the employee's dependents.
- tom]
|
4308.46 | | ACISS2::LENNIG | Dave (N8JCX), MIG, @CYO | Fri Dec 08 1995 09:01 | 30 |
| re: .39
>> Getting back to the base note, there should be a per person
>> premium that should be the same for everyone. So if one person was
>> $2.50, five people should be $12.50. This would be the fair way to do
>> it, but this makes too much sense to ever happen ;-)
Seems reasonable for Digital to cover most of the _employees_ costs,
but other than competitive marketplace pressures, why should they have
any interest in covering the same level of costs for non-employees?
If your spouse/children were making the same contribution to Digital's
bottom line as you (the employee) are, then your proposal makes sense,
and in fact isn't that what actually happens? ie if your spouse is also
directly contributing to Digital's bottom line (ie is also an employee)
then both you and they are enrolled as individuals at the same cost.
However in most cases, the other members of an employee's family do not
contribute directly to Digital's bottom line; indirectly perhaps they
do, from the viewpoint of supporting the employee in life matters such
that they can be productive employees, and secondarily from the view-
point that an employee that is distracted by family health matters may
be less productive. But neither of these reasons justifies the same
level of investment by the company for _their_ health insurance costs.
BTW, for those arguing for a per-person charge; call John Hancock and
ask about the COBRA costs for the DMP plans. Seems that Digital charges
for the DMP COBRA coverage on a per adult/child basis (however the HMO
COBRA costs are quoted on the same individual/family basis).
Dave
|
4308.47 | Let's make it simple: $10 | HERON::KAISER | | Fri Dec 08 1995 09:49 | 6 |
| > Is that what Kaiser is charging ...
Let's not pick nits about the details. To simplify everything: everyone
who sees this note can just send me $10 and we'll call it quits. Okay?
___Pete
|
4308.48 | | BHAJEE::JAERVINEN | Ora, the Old Rural Amateur | Fri Dec 08 1995 09:51 | 3 |
| re .47: But the question is, how much do you get additionally from
Digital??? ;-)
|
4308.49 | | NETCAD::GENOVA | | Fri Dec 08 1995 10:44 | 21 |
|
rep .42
I tend to disagree on the profit motive. I think you should make a
profit on everything you do. If you don't don't do it.
If everybody works for a profit, whether it's returned in kind, with
money, friendship, etc, then everybody is happy, and nobody feels taken
advantage of.
As for health care, it's kinda sad that people aren't covered and then
don't go to the docta and then get real sick, and then some hospital
takes care of them for free, and spreads the bill around to the ones
who pay the bills. My wife is from Norway and they have National
health care. They get seen, but there are long waits for office
visits, and there is a rationing of what care is given to whom.
I don't really want the government in the health care business, they
will only screw it up, but we should do something to help those who
don't have any coverage, exactly what is unclear to me!
/art
|
4308.50 | Might still be possible! | STAR::DIPIRRO | | Fri Dec 08 1995 12:14 | 9 |
| Re: .38
> I wish that $30.00 would cover my cat's insurance, afterall he is
> my son!
Well, I'm not going to ask how you conceived him, but I think I saw something
like it in a movie once...But if you have the birth certificate to prove
you're the father, you can probably get your cat covered under the family
coverage option.
|
4308.51 | | TRNADO::BREAU | | Fri Dec 08 1995 12:39 | 18 |
|
Re .43
> What about supplying our food? Should food suppliers be able to make
> a profit? How about companies which make clothing? Can they make a
> profit? What about housing? Education? Transportation?
Seems to me that there is a fundamental difference between suppliers of
food, clothing, housing, ... and health care. Suppliers of products and
services generally improve their profits by selling you more. One of the
ways health care providers can significantly improve their profits is to
deny consumers access to products and services.
/bob
|
4308.52 | | AXPBIZ::WANNOOR | | Fri Dec 08 1995 17:07 | 25 |
|
.43 ed,
.49 hopefully help explain the difference. In my view, there are
a few functions that a government provides for its people; these
are: basic healthcare, defense, education and maybe interstate
commerce/transportation. In a way, I think our way of blind
capitalistic compliance and fear of anything that may smell or
look socialistic resulted in analogies like yours. There is
a fundamental difference in profiting from selling computer
systems than determining whether one gets healthcare by rationing,
which is what paying premiums actually does.
.45 tom,
those are out-of-pocket after the Digital subsidy. I had a
chance to check out COBRA rate 2 yrs ago, and it was about
a lot more (triple digit/month, don't recall exactly) for
indiv.
.50 dipirro
oops.... I suppose I should have said "My VIRTUAL son"???
but seriously, have you seen how much vet services cost
nowadays?
|
4308.53 | mother maybe -- father no | AXPBIZ::SWIERKOWSKIS | Now that we're organized, what's next? | Fri Dec 08 1995 17:55 | 15 |
| >> I wish that $30.00 would cover my cat's insurance, afterall he is
>> my son!
>
>Well, I'm not going to ask how you conceived him, but I think I saw something
>like it in a movie once...But if you have the birth certificate to prove
>you're the father, you can probably get your cat covered under the family
>coverage option.
Hmmmmmmmm, if Ashikin can prove she's the "father," it'd be even more
impressive than you thought!
SQ
PS. Since we have five of the little critters, I have to agree with her --
I'd love to have coverage for them.
|